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Safety and Immunogenicity of Recombinant DNA and Adenovirus Expressing L523S Protein in Early Stage Non-Small Cell Lung Cancer



Safety and Immunogenicity of Recombinant DNA and Adenovirus Expressing L523S Protein in Early Stage Non-Small Cell Lung Cancer

For Condition: Non-small cell lung cancer
Status: Recruiting
Sponsor(s): Corixa Corporation ,
Synopsis: The purpose of this trial is to examine the safety and immunogenicity of a therapeutic prime-boost vaccine regimen with recombinant DNA and adenovirus expressing L523S protein in patients with early stage non-small cell lung cancer. The vaccine regimen will consist of two fixed priming doses of recombinant DNA (pVAX/L523S) followed by two boosting doses of recombinant adenovirus (Ad/L523S). The trial will evaluate the dose escalation of Ad/L523S through three cohorts of patients.
Details: The primary objective of the study is to evaluate the safety of the vaccine regimen administered as two priming doses of pVAX/L523S and two boosting doses of Ad/L523S. The secondary objectives of the study are: - To provide initial evidence as to whether CD8+ and CD4+ T cell responses specific for L523S protein can be elicited by two priming doses of pVAX/L523S followed by two boosting doses of Ad/L523S - To provide initial evidence as to whether antibody responses specific for L523S protein can be elicited by two priming doses of pVAX/L523S followed by two boosting doses of Ad/L523S - To investigate the extent to which dose escalation of Ad/L523S affects the elicited immune response
Eligibility:
Study Type:
  Interventional, Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety Study
Minimum Age/Maximum Age: 18 Years/70 Years
Genders: Both
Protocol Entry Criteria: INCLUSION CRITERIA: - Histologically and surgical confirmed diagnosis and stage of IB, IIA, or IIB non-small cell lung cancer (NSCLC) according to the Revised International System for Staging Lung Cancer - Primary surgical resection of lung cancer greater than or equal to 4 weeks and less than or equal to 52 weeks prior to the Day 0 visit - No evidence of disease by standard diagnostic tests at study entry - Chest X-ray and physical examination showing no active disease - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 - WBC count greater than or equal to 3,000 cells/mm3 and ANC greater than or equal to 1,500 cells/mm3 - Hemoglobin value greater than or equal to 10.0 g/dL and a platelet count greater than or equal to 150,000 cells/mm3 - Adequate renal function (defined as serum creatinine within normal limits for females and males) - Normal hepatic function (defined as serum bilirubin, AST and alkaline phosphatase within normal limits) - Ability to understand and willingness to sign an IRB-approved written consent prior to study enrollment - Female patients must be greater than or equal to 60 years of age, or greater than or equal to 5 years amenorrhea or surgically sterile - Male patients who are capable of fathering a child and whose partners are capable of having a child must agree to use adequate contraception for 6 months after enrollment (for men or women-surgical sterilization; for women-hormonal contraceptives, vaginal ring or IUD) EXCLUSION CRITERIA: - Received pre- or post-operative chemotherapy or radiotherapy - Received prior biologic, immunologic, or gene therapy for cancer - Received an investigational drug (new chemical entity) within three months of study entry - Received antibiotics within 4 weeks of Day 0 visit - Received systemic or inhaled corticosteroids or immunosuppressive therapy within 4 weeks of Day 0 visit (Use of topical corticosteroids and/or eye drops containing glucocorticosteroids is acceptable) - History of active autoimmune diseases such as, but not limited to, systemic lupus erythematosis, sarcoidosis, rheumatoid arthritis, glomerulonephritis, vasculitis, or inflammatory bowel disease - History of bleeding in stools and/or diarrhea within 4 weeks of Day 0 visit - History of anaphylaxis or severe allergic reaction to vaccines or unknown allergens - Received any commercial vaccine within 2 weeks of Day 0 visit - Received a major organ allograft - Current or previous diagnosis of paraneoplastic syndrome - Evidence of a clinically significant active infection, emphysema, FeV1 less than or equal to 60% predicted, DLCO less than or equal to 60% predicted, pulse oximetry less than or equal to 92% at the time of study entry - Known to be HIV positive - Results of virology screening indicate positive serology for HCV (hepatitis C virus) and/or HBsAG (hepatitis B surface antigen). Positive serology for HBV antibodies is allowed. - History of other malignancies at other sites, except effectively treated non-melanoma skin cancers, superficial bladder cancer or carcinoma in situ of the cervix or an effectively treated malignancy that has been in remission for greater than 5 years and is highly likely to have been cured - Uncontrolled medical problems (neurological, cardiovascular, gastrointestinal, genitourinary or other illness) considered as unwarranted high risk for investigational new drug treatment - Patient is lactating - Staging classification of TX or NX or MX
Total Enrollment: 9

Location and Contact Information:

US Oncology *Recruiting*
Dallas,  Texas,  75246
United States
Recruiting Rob  Eager 214-370-1820


Additional Information:
Study ID Numbers:
  CCL5001-01; 
Study Start Date: May 2003
Record last reviewed: June 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00062907

Other Non-Small Cell Lung Cancer Studies:
1. Phase 2 Study of VELCADE Alone or VELCADEĀ® plus Docetaxel in Previously Treated Patients with Advanced Non-Small Cell Lung Cancer

2. Monoclonal Antibody Therapy in Treating Patients With Ovarian Epithelial Cancer, Melanoma, Acute Myeloid Leukemia, Myelodysplastic Syndrome, or Non-Small Cell Lung Cancer

3. Oral Investigational Drug Vs. Approved Intravenous Treatment In Pretreated, Advanced Non-Small Cell Lung Cancer (NSCLC).

4. Oltipraz in the Prevention of Lung Cancer in People Who Smoke

5. Helical Computed Tomography Compared With Chest X-Ray in Screening Individuals at High Risk for Lung Cancer

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